person
Benjamin M Stage, MD
General Practice Physician in Monroe, Louisiana
NPI 1366512428

Benjamin M Stage is a General Practice Physician based in Monroe, LA. Benjamin M Stage practices in Monroe, LA and has the professional credentials of MD. The NPI Number for Benjamin M Stage is 1366512428 and holds a License No. 012235 (Louisiana).

The current practice location address for Benjamin M Stage is 1136 Oliver Rd, Monroe, LA and can be reached out via phone at 318-322-3250 and via fax at 318-322-3260.

Location: 1136 Oliver Rd, Monroe, LA, 71201-5714
person
Provider Profile Details
NPI Number
1366512428
Provider Name
Benjamin M Stage
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1136 Oliver Rd, Monroe, LA, 71201-5714
Phone Number
318-322-3250
Fax Number
318-322-3260
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
72-1396339 01 LA TAX ID PEGASUS MEDICAL SERVICES, INC.
721145487 01 LA TAX ID NO.
721304084 01 LA TAX ID BAS
institution
Provider Business Practice Location Address Details
Address
1136 Oliver Rd
City
State
Zip
71201-5714
Phone Number
318-322-3250
Fax Number
318-322-3260
person
Provider Business Mailing Address Details
Address
1136 Oliver Rd
City
State
Zip
71201-5714
Phone Number
318-322-3250
Fax Number
318-322-3260
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
012235 (Louisiana)
Definition
Definition to come...
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